Ordered via Medcart Pharmacy on Friday
July 8, arrived today, Thursday July 14 at
a low co-pay price of $139.04 . The cash
price would've been $602.69 per the re-
ceipt.
I don't know where my insurance company
arrived at a purported price of over $4,500
which, after 18 days of angst which included
a quote at that price, I fortunately didn't have
to pay.
I have 2 of the Omnipod DASH pods left, so
I'll keep those around in case I ever need
a backup for use with my old Omnipod for
some reason.
Early this morning, 6 AM, I inserted my last
Omnipod DASH pod, so I'll start using the
new Omnipod 5 / G6 device & pod at 2 PM
on Sunday July 17.
The box the devices came in says "simplify
life" on the top, and shows a picture of the
Omnipod 5 controller & Omnipod 5 / G6 pod
on the side, saying "The First Tubeless Auto-
mated Insulin Delivery System. Omnipod 5,
simplify life."
The box contained the Omnipod 5 controller,
a charging cable & when I plugged it in to
charge it it was already at 81% charged. Also
in the box, Omnipod 5 Quick Start Guide (30
pages), Omnipod 5 User Guide (382 pages),
3 Omnipod Pals adhesive pod overlays.
So, I'll be doing a lot of reading the next 3
days. Looking forward to the new Omnipod 5 /
G6 experience & will follow-up sometime next
week with what my initial experience is.
*~~~ ~~~ ~~~ ~~~ ~~~ ~~~ ~~~ ~~~ ~~~*
INSULINITIS (ISLIT)
New SUPERIOR clarifying name for near-
total to total loss of endogenous insulin https://prohuman.net/pix2/new_superior_clarifying_name_is_INSULINITIS.jpg
The overwhelming majority of Islit caused
by autoimmune attacks on pancreatic beta
cells (Insulitis Islit) but there are
o 15 specific types of rapid onset Islit, a
rare condition (only present in < one-half
of 1% of Americans & in a much lower rate
in most of the world), when present is typ-
ically diagnosed at age under 30
(50% at age < 18, 20% at age 19 to 29)
o 1 slow onset specific type, Latent Auto-
immune Islit, frequency unknown but per
a recent report, misdiagnosed as Cellosis
(new clarifying name for type 2 diabetes)
almost 40% of the time due to slow onset
& occurrence typically at age over 30
Old outdated anachronistic name for Islit is
type 1 diabetes, confusing in that diabetes
without clarifier is often used to describe this
& the other 6 Disparate High Glucose Con-
ditions (DHGCs).
That makes figuring out which DHGC is actu-
ally being referred to (& it can be any 1, some,
or all of them when diabetes or diabetic word
used without clarifier) confusing / difficult: https://prohuman.net/pix2/diabetesdiabeticguessinggame.jpg https://prohuman.net/pix2/diabetesdiabeticconfusion.jpg https://prohuman.net/pix2/diabetesdiabeticendingthemisunderstanding.jpg
Recent estimate that 20 million have Islit in the
world, 1 in 394 (2.583/10ths of 1%), less than
5% of the almost 470 million in the world who
have any of the 7 DHGCs, 95% having Cellosis
(see below for causalities): https://groups.google.com/g/misc.health.diabetes/c/58ZoHZEZ51w/m/EBejqoJQAQAJ
Notably, one's relatives and one's birthplace
dramatically impact one's risk of getting the
Insulitis-caused Islit, as listed in details of all
15 specific types of rapid-onset Islit & the sole
specific type of slow onset Latent Autoimmune
Islit at https://groups.google.com/g/misc.health.diabetes/c/aOsrugeqYqs/m/MlI8I6PzAAAJ
- - -
Insulin / Insulin Pump / CGM I use
Fiasp Ultra-Fast-Acting Insulin in a tubeless
Omnipod 5 insulin pump catheter placed into
skin / pod with adhesive stuck onto skin every
80 hours, control via Omnipod 5 controller,
with basal dosages auto-adjusted based on
Dexcom G6 glucose levels every 5 minutes)
-New picture to be added-
Dexcom G6 CGM (continuous glucose monitor)
-New picture to be added-
- - -
Stop Diabetes/Diabetic Confusion
with New Superior Clarifying Terms https://www.change.org/stopdiabetesdiabeticconfusionwithNewSuperiorClarifyingTerms
- - -
o Preventable Cellosis is the only specific
type of Disparate High Glucose Condition
that is preventable & reversible (in many,
sometimes it's called type 2 diabetes, often
confusingly called diabetes with no clarifier)
Risk for Preventable Cellosis, Hypertension,
& Cardiovascular Disease increases as one's
weight increases but BMI risk increases at
lower BMI levels in non-white individuals: https://prohuman.net/pix2/BMI-WaistCircumference-Cellosis&Hypertension&CardiovascularDisease-Risk.jpg
https://medicalxpress.com/news/2021-05-bmi-offs-obesity-diabetes-non-white.html
o PreCellosis (often confusingly called predia-
betes with no clarifier) is the oft-times preven-
table & reversible Cellosis precondition that all-
too-often the overwhelming majority having it
are unaware they have it (almost 3 times more
have PreCellosis than have Cellosis).
o 20 specific types of Cellosis, unpreventable
& nonreversible (thus far, sometimes called
type 2 diabetes, all-too-often confusingly called
diabetes with no clarifier)
Per the following article, 5.3% with Cellosis
used exogenous insulin in 2019. https://www.bloomberg.com/press-releases/2019-12-13/tandem-diabetes-care-announces-fda-clearance-of-the-t-slim-x2-insulin-pump-with-control-iq-advanced-hybrid-closed-loop
- - -
o 4 other Disparate High Glucose Conditions
exist (Gestational Cellosis, Diminosis, Neonatal
Diminosis, Ohiglucons), all 7 DHGCs fully des-
cribed in the following article:
Logic and reasoning behind ceasing using
confusing / misleading / misinforming diabetes
& diabetic & reactive hypoglycemia words and
phrases, replacing all of that with vastly superior
clarifying names:
Diabetes Bubble / Diabetes Bubble Burst https://prohuman.net/diabetesbubblediabetesbubbleburst.htm
*~~~ ~~~ ~~~ ~~~ ~~~ ~~~ ~~~ ~~~ ~~~*
Insulin to Carb Ratio: 7 to 20 grams carbs, the
7 only applies after I wake up 'til noon, the rest
of the day it's 20 grams carbs per unit of insulin
Correction Factor: 50 mg/dl (amount that 1 unit
of insulin will lower the glucose level when a cor-
recting dose is given)
~~~ ~~~ ~~~ ~~~ ~~~ ~~~ ~~~ ~~~ ~~~
INSULINITIS (ISLIT)
New SUPERIOR clarifying name for near-
total to total loss of endogenous insulin https://prohuman.net/pix2/new_superior_clarifying_name_is_INSULINITIS.jpg
The overwhelming majority of Islit caused by
autoimmune attacks on pancreatic beta cells
(Insulitis Islit) but there are
o 15 specific types of rapid onset Islit, a
rare condition (only present in < one-half
of 1% of Americans & in a much lower rate
in most of the world), when present is typ-
ically diagnosed at age under 30
(50% at age < 18, 20% at age 19 to 29)
o 1 slow onset specific type, Latent Autoim-
mune Islit, frequency unknown but per a
recent report, misdiagnosed as Cellosis
(new clarifying name for type 2 diabetes)
almost 40% of the time due to its slow
onset and its occurrence typically at age
over 30
Old outdated anachronistic name for Islit is
type 1 diabetes, confusing in that diabetes
without clarifier is often used to describe
this condition which is 1 of the 7 Disparate
High Glucose Conditions (DHGCs).
That makes figuring out which DHGC is actu-
ally being referred to (and it can be any one,
or some, or all of them when the diabetes
or diabetic word is used without clarifier)
confusing / difficult: https://prohuman.net/pix2/diabetesdiabeticguessinggame.jpg https://prohuman.net/pix2/diabetesdiabeticconfusion.jpg https://prohuman.net/pix2/diabetesdiabeticendingthemisunderstanding.jpg
- - -
Diabetes Bubble / Diabetes Bubble Burst
Outstanding! https://prohuman.net/diabetesbubblediabetesbubbleburst.htm
C.ure I.nsulinitis A.ssociation
Please! https://prohuman.net/cureinsulinitisassociation.htm
Glucose Anomalies Research regarding
Potential Cures / Improvements in Treatments
Great! https://prohuman.net/glucoseanomaliesresearch.htm
Stop Diabetes/Diabetic Confusion
with New Superior Clarifying Terms https://www.change.org/stopdiabetesdiabeticconfusionwithNewSuperiorClarifyingTerms
~~~ ~~~ ~~~ ~~~ ~~~ ~~~ ~~~ ~~~ ~~~
Follow-up 5:
--- Comment 1 of 3 ---
I've found no evidence that the Omnipod 5
automatic basal rate ever goes higher than
.05 units per 5 minutes which = .6 units/hr.
Those doses are displayable via the History
Detail "Auto Events" option on the Omnipod 5
controller.
Disappointing that the automatic basal rate
is geared towards preventing hypoglycemia
(a lot of 0 dosages every 5 minutes) but is
blind (no upward adjustments at all) regard-
ing preventing hyperglycemia.
Very disappointing that, the Omnipod 5 folks
are so fearful of hypoglycemia that they arg-
uably are irresponsible (negligent) in auto-
matically countering hyperglycemia with
higher automatic basal rates.
So, in essence, one must always manually
dose insulin with correcting bolus dosages
and/or with manual increased basil levels
to try to prevent & counter hyperglycemia.
--- Comment 2 of 3 ---
Well, Glooko data began on Monday after-
noon. I & the Omnipod 5 have been great
at countering / preventing hypoglycemia
(a hypoglycemia rate of 1% thus far).
However, due to my bolus dosages being
too high on Tuesday after 3:23 PM & on
Wednesday, I ingested far too many carbs
(well over 300 both of those days) to pre-
vent hypoglycemia from my bolus dosages
being too high.
Nevertheless, despite the disappointment
I have regarding the automatic basal levels
(detailed in comment 1 above), my above
180% thus far has been just 1%, so overall
time between 70 & 180 mg/dl has been 98%.
Glooko & Omnipod 5 do not use tenths of
percent so percents are averaged up or down
(not sure if they go up at = or > 5/10ths of a
% & down below 5/10ths of a %, but I pre-
sume that's the case).
Glooko reports: Unfortunately, due to my fre-
quency of carb ingestion & insulin dosing, the
following 'scrambled eggs' loss of accuracy
due to trying to squeeze too many entries into
too small of a space is present in the following
Glooko reports:
Calendar - Carbs & Insulin doses, unreadable
when they're done frequently.
Week View - Bolus Units of insulin dosages,
unreadable when they're done frequently.
--- Comment 3 ---
Their reference guides, unfortunately they
appear to have one for all devices & there's
not enough information about Omnipod 5
in some areas:
Glooko Reports Reference Guide https://support.glooko.com/hc/en-us/article_attachments/4992665526291/ENGLISH-US_-_IFU-0025-00_EN_08_-_Glooko_Report_Reference_Guide.pdf
Glooko for Clinics Reference Guide https://support.glooko.com/hc/en-us/article_attachments/7569737685267/ENGLISH-US_-_IFU-0026-00-EN_20_Glooko_for_Clinics.pdf
Glooko for Personal Use Quick Start Guide https://support.glooko.com/hc/en-us/article_attachments/6459632327443/English-US_-_IFU-0027-00-EN_22_Glooko_for_Personal_Use.pdf
One excerpt: "The Omnipod 5 is a cloud-to-cloud
integration. The connection with Glooko is estab-
lished in PodderCentral, where the users need to
authorize the connection between their Omnipod 5
and Glooko. Once the connection is made, data
will stream regularly into Glooko with an hour
delay."
That cloud-to-cloud integration is called 'syncing'
in the following email.
Per an email from Glooko on July 20, "while it may
take a few hours for it to start syncing to Glooko,
it should not take multiple days/weeks. Omnipod 5
syncs to Glooko several times an hour, not once a
day. I think the rep you were speaking to at Insulet
may have gotten mixed up between the DASH (older ...
... Omnipod version) and the Omnipod 5, and I do
apologize for this." That Glooko rep, Rachel, worked
steadfastly to help me & I appreciate her efforts.
At some point in the future I'll present links to pic-
tures of some of the Glooko reports that will hope-
fully, apart from the 'scrambled eggs' problem on
the Calendar & Week View reports, show how well
the Omnipod 5 is handling my glucose levels & for
the most part (not all parts, see above) my basal
insulin dosaging.
It is disturbing to me when Omnipod 5 'turns off'
basal sometimes when the glucose level is above
110 mg/dl (I know, their algorithm has a 1 hour
prediction factor in play, but still, I find that dis-
turbing although with a 1% hypoglycemia rate
& a 1% >180 mg/dl rate thus far, I suppose my ...
... being disturbed about that may be question-
able, & maybe I'll stop being disturbed about that
as I continue using the Omnipod 5 - maybe not,
as I question the Omnipod 5 inability to dose
basal automatically at higher than .05 units
every 5 minutes, i.e. .6 units per hour. That ...
... limit may not be true at much higher glu-
cose levels, but since my glucose level has
not gone above 195 mg/dl (according to
the Glooko online display) since I connected
with Glooko Monday afternoon, I can't know
what the automatic basal would be if it ever ...
... got in the 200s or 300s or heaven forbid,
the 400s, but it didn't increase above .6 units
per hour when my glucose went above 180
mg/dl.
Dexcom Clarity had a nifty feature of being
able to hover over a glucose level graph &
get an exact glucose level displayed. Unfor-
tunately, Glooko being a pdf file, that func-
tionality isn't available.
On Wednesday, July 20, 2022 at 10:42:50 AM UTC-5, _ wrote:
Follow-up 4:
Glooko reports are now working. The data
began when I established a link to glooko
from my poddercentral account. I'll have to
get used to the manner in which the data
is presented and will present information
about that in the future.
My attempt to alter my settings did not have
the result I was seeking so I changed my set-
tings back to what they were originally.
~~~ ~~~ ~~~ ~~~ ~~~ ~~~ ~~~ ~~~ ~~~
INSULINITIS (ISLIT)
New SUPERIOR clarifying name for near-
total to total loss of endogenous insulin https://prohuman.net/pix2/new_superior_clarifying_name_is_INSULINITIS.jpg
The overwhelming majority of Islit caused by
autoimmune attacks on pancreatic beta cells
(Insulitis Islit) but there are
o 15 specific types of rapid onset Islit, a
rare condition (only present in < one-half
of 1% of Americans & in a much lower rate
in most of the world), when present is typ-
ically diagnosed at age under 30
(50% at age < 18, 20% at age 19 to 29)
o 1 slow onset specific type, Latent Autoim-
mune Islit, frequency unknown but per a
recent report, misdiagnosed as Cellosis
(new clarifying name for type 2 diabetes)
almost 40% of the time due to its slow
onset and its occurrence typically at age
over 30
Old outdated anachronistic name for Islit is
type 1 diabetes, confusing in that diabetes
without clarifier is often used to describe
this condition which is 1 of the 7 Disparate
High Glucose Conditions (DHGCs).
That makes figuring out which DHGC is actu-
ally being referred to (and it can be any one,
or some, or all of them when the diabetes
or diabetic word is used without clarifier)
confusing / difficult: https://prohuman.net/pix2/diabetesdiabeticguessinggame.jpg https://prohuman.net/pix2/diabetesdiabeticconfusion.jpg https://prohuman.net/pix2/diabetesdiabeticendingthemisunderstanding.jpg
- - -
Diabetes Bubble / Diabetes Bubble Burst
Outstanding! https://prohuman.net/diabetesbubblediabetesbubbleburst.htm
C.ure I.nsulinitis A.ssociation
Please! https://prohuman.net/cureinsulinitisassociation.htm
Glucose Anomalies Research regarding
Potential Cures / Improvements in Treatments
Great! https://prohuman.net/glucoseanomaliesresearch.htm
Stop Diabetes/Diabetic Confusion
with New Superior Clarifying Terms https://www.change.org/stopdiabetesdiabeticconfusionwithNewSuperiorClarifyingTerms
~~~ ~~~ ~~~ ~~~ ~~~ ~~~ ~~~ ~~~ ~~~
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